22yrs old Blood work.Need help!

unknownproblem

unknownproblem
I have very low energy, fatique, bad sleeping paterns, nonexistance moorning wood for 3-4 years, etc... but i can get erections during day which are not very regular.I went to endo and he said that i should get blood work done. Here are my results:

FSH 0.641 mlU/ml (0.7 - 11.1) WTF!!!
LH 6.92 mlU/ml (0.8 - 7.6)
Prolactin 358 mlU/l (53 - 360)
Estradiol 69.7 pg/ml (0 - 56) ,again WTF !!!
Testosterone 8.39 ng/ml (2.8 - 8)
SHBG 46.9 nmol/l (13 - 71 )
IGF1 330 ng/mol (116-358 for 21-25 age)
FT4 18.95 pmol/l (12 - 22)
TSH 1.34 microIU/ml (0.4 - 4 )
Vitamin D 22.48 nmol/l ( optimal 75 - 250) , I`m in deficit.

Doctor gave me Vitamin D supplements.
What`s up with my FSH and Estradiol levels? Lol at my endo said that those levels are normal even if they are not in the reference range (notsureifsrs) . I`m not fat (around 13-14% bf), tend to store fat on lower body.
I can grow beard, have body hair, 6''3' tall but skinny. I also went to urologist ( before endo) and diagnosed with varicocella grade 3/4 and he said that only way to cure it is through surgery.Urologist doesnt know my blood work results. Should i visit another endo or show results to my urologist( I think he will said the same as endo).Can varicocella affect hormonal levels, or I just have high aromatisation (I dont know how it is possible if I`m not fat),or bad sleeping pattern.Also to mention that I have never us steroids. I apologise if i made some mistakes in text,cause Engish is not my official language. Thanks for help and advice. :)
 
So you are naturally above the high range for total T?

Testosterone 8.39 ng/ml (2.8 - 8)

Thyroid and IGF also look awesome.

For the higher e2 try a natural Aromatase inhibitor (AI) to lower. P5p/vitex works if you research proper dosing.
 
Yes,I`am natural. But I dont know why is my E2 so high, it totally throw away my T to E ratio. I know that E2 should be around 20-30 for my age.
 
Your total T is high also, there is a chance if you lower e2 that total t will end up even higher!

Google vitex and p5p as an anti estrogen. They work with the correct dosing for many and are over the counter. P5p should also lower prolactin which is high. High e2 and prolactin and the vitD are I'll bet anything the cause of your issues.
 
I was also thinking about my prolactin levels that can affect estradiol, cause before one year my prolactin levels were elevated.Maybe it has something to do with stressfull life i live.I was on zoloft for almost 2 years but i stop taking it at march 2011. I was also fat form 18 to 21 (20-22%).
 
Varicole and 2 hernias here as well. Tend to store bodyfat on lower body and have high E2 as well.

Chicken or the egg? Did the E2 ratio cause the weakening abdominals or vice versa?

Get the varicocele fixed if it is covered. It is a simple, minor surgery and can fix the testicle "misfiring"

In the meantime, mopar gave you spot-on advice: use the OTC anti e to control the E2. That's very high for your age. Try adding ZMA at night as well. Did you have any breast discharge during puberty?
 
I was told I have testicular failure resulting in my low test. I also have a vericocele, which when I got it 10 years ago they said couldn't effect my test level, but now they it can and does. It caused my testicles to shrink up and then all my low test symptoms started.
 
I was told I have testicular failure resulting in my low test. I also have a vericocele, which when I got it 10 years ago they said couldn't effect my test level, but now they it can and does. It caused my testicles to shrink up and then all my low test symptoms started.

Did you get it fixed?
 
Mys estradiol level was tje same dr put me on anaztrozol I'm at 15 now life is much better.your t is fucking kick ass though!
 
Thanks for advices, but if I have varicocelle wouldn`t my T level be low rather than high.Maybe it has something to do with my LH level cause everywhere I see almost everybody have LH around 4-4.5. Maybe I have some testicular damage and cause of that LH is higher trying to produce more test. But again I dont understand how my E2 is that high cause I`m not fat(13-14%), I don`t have gyno,I had sore nipples when i started puberty but thats all about it.I know I can lower E2 with AI,but I really want to find the REASON why T to E ratio is like this. It`s around 12 or 13 and it should be in 20-30 range. Are naturall Aromatase inhibitor (AI) like resveratrol,grape seed extract,zinc(50-75mg) helpfull at all.I read that they are good naturall Aromatase inhibitor (AI). Also I think my free T is low in comparision to my total T. I used caclculator for free T and it`s about 13.5 ng/dl and 1.69% and I read that free T is around 2-3% of total T. If I said this to endo he will probably laugh at me and said thats all normal and thats all in my head, but it`s not. Sorry for long post.
 
Yes natural Aromatase inhibitor (AI) work, yes the link I posted is better then natural, yes lowering your E2 will increase free test and total test, yes your total T is great (higher then normal range which is GREAT). No idea why e2 is high so many things involved i won't even guess. Maybe someone else can guess (all it will be is a guess).
 
Well of course we're not Dr's. I read about Varicole and it said that it lowers Testosterone levels. I personally think that your high E levels are reaction to the high T levels. So the real question in my mind is why your T levels are so high. Get an MRI to make sure that you don't have a tumor. I have a cycst inside of my pituitary which is non cancerous, while I was reading up on my condition there were a lot of topics about high t levels due to a tumor. But if it were me, I would be looking at this. It also seems really odd that your FSh is so low and your LH is so high. Those are hormones secreted by the pituitary gland.

This is worth a read.

In any event don't freak out about anything that I say. I really don't know, just giving my 2 cents.
 
Should I go to endo and ask him to do MRI to check pituitary, or to go on my own. I dont know what are symptoms of pituitary tumor but i have very low energy (I was way more energetic when i was 15-16, and I have headaches almost every morning when I wake up (no matter how much I sleep) and somethimes during the day, have some pretty fucked up dreams, also worse eyesight from year to year (maybe cause of the computer but I don`t know) and sharp pain beetween my eyes and in eye socket.I`m also very sensitive to light.
 
I didn't have it fixed, I am with maximus. I had failure and very low test and normal estrogen.

Yours probably isn't from the vericocele.
 
Should I go to endo and ask him to do MRI to check pituitary, or to go on my own. I dont know what are symptoms of pituitary tumor but i have very low energy (I was way more energetic when i was 15-16, and I have headaches almost every morning when I wake up (no matter how much I sleep) and somethimes during the day, have some pretty fucked up dreams, also worse eyesight from year to year (maybe cause of the computer but I don`t know) and sharp pain beetween my eyes and in eye socket.I`m also very sensitive to light.

F'd up hormones and headaches are clues that you should get an MRI. And your Dr. should get you one. If not, get another Dr.

Don't sweat how you feel at the moment. It's your hormones, and they are out of balance. Now find out WHY.
 
Hey, I came back with my free T results and they are horrible, as I was thinking they will be.It`s 13.27 pg/ml ( 5.5-42).This is really weird and fucked up cause my total T is 8.39 ng/ml (2.8 - 8). According to my free T I`m not really far by being secondary hypogonadal. I have done electrolite analysis(maybe I`m in deficit in some of them) this morning, and tommorow I will definetely visit endo,and discuss with him about this.I just don`t know what to ask him cause I`m 100% sure he will say that everything is "completely normal".
 
Yes clearly since large amounts of your bi-available free test is converting to e2.

Do now Fix: Aromatase inhibitor (AI) the link I posted, will inhibit that conversion, lower prolactin and e2 and thus also raise free test.
Work on the Why: get a god damn MRI to check your pituitary.

No Dr is his right mind would out you on testosterone replacement therapy (TRT) if that's what you are looking for.
 
I will definitly do MRI and first I will try natural Aromatase inhibitor (AI) to lower E2.If that doesnt help then I will probably use synthetic form like forma, or arimidex.Can you tell me when you stop using synthetic Aromatase inhibitor (AI), does your E2 come back higher then it was before or it remain in ''normal'' levels.I would like to have constant levels of E2 in 20-30 range,with current total T levels. That would be awesome.
 
On it coming back: depends on what's causing it to go up, if the cause (we don't know wants causing) is still there then yes it would go back up once off.

I'd skip the natural and try the forma 1st it is supposed to lower shbg, lower e2, lower prolactin and raise free test. If you get joint pain after a few weeks lower the dose.

Hope your Dr can figure it out but even if he does there is a chance you'll need estrogen control for the rest of your life if for example the high level is caused by a mal-functioning pituitary.

As far as e2 levels mid 20s to mid 30s is the spot. I
Feel the best a bit higher then most shoot for.
 
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